Pericardiectomy for constrictive pericarditis: a risk factor analysis for early and late failure
| Autor: | Andrea Perrotti, Ilaria Fiorica, Antonio Fiore, Thierry Folliguet, Aniello Pappalardo, Angela Poletti, Fiona Ecarnot, Aldostefano Porcari, Sidney Chocron, Julien Ternacle, Rossana Bussani, Giuseppe Gatti |
|---|---|
| Přispěvatelé: | Gatti, G., Fiore, A., Ternacle, J., Porcari, A., Fiorica, I., Poletti, A., Ecarnot, F., Bussani, R., Pappalardo, A., Chocron, S., Folliguet, T., Perrotti, A. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Constrictive pericarditis medicine.medical_specialty Time Factors medicine.medical_treatment Outcomes 030204 cardiovascular system & hematology Patient Readmission Risk Assessment law.invention 03 medical and health sciences Mortality/morbidity Pericardiectomy Risk factors Postoperative Complications 0302 clinical medicine Risk Factors law Cause of Death Internal medicine medicine Cardiopulmonary bypass Humans Hospital Mortality Treatment Failure 030212 general & internal medicine Risk factor Aged Retrospective Studies Outcome Cardiopulmonary Bypass business.industry Pericarditis Constrictive Middle Aged Vascular surgery medicine.disease Cardiac surgery Italy Concomitant Heart failure Cardiology Constrictive pericarditi Female France Cardiology and Cardiovascular Medicine business |
| DOI: | 10.1007/s00380-019-01464-4 |
| Popis: | Predictors of early and late failure of pericardiectomy for constrictive pericarditis (CP) have not been established. Early and late outcomes of a cumulative series of 81 (mean age 60 years; mean EuroSCORE II, 3.3%) consecutive patients from three European cardiac surgery centers were reviewed. Predictors of a combined endpoint comprising in-hospital death or major complications (including multiple transfusion) were identified with binary logistic regression. Non-parametric estimates of survival were obtained with the Kaplan–Meier method. Predictors of poor late outcomes were established using Cox proportional hazard regression. There were 4 (4.9%) in-hospital deaths. Preoperative central venous pressure > 15 mmHg (p = 0.005) and the use of cardiopulmonary bypass (p = 0.016) were independent predictors of complicated in-hospital course, which occurred in 29 (35.8%) patients. During follow-up (median, 5.4 years), preoperative renal impairment was a predictor of all-cause death (p = 0.0041), cardiac death (p = 0.0008), as well as hospital readmission due to congestive heart failure (p = 0.0037); while partial pericardiectomy predicted all-cause death (p = 0.028) and concomitant cardiac operation predicted cardiac death (p = 0.026), postoperative central venous pressure |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|